HomeMy WebLinkAboutBLD1987-00008 . lik--.. - ,
I. LOCATION: geographic name S W SIDE OF ROAD 1.,i / FEET
NE \ I
' S W FROM INTERSECTION OF ROAD AND Jr) UiccJf/1 ROAD
� 4
other specific location or landmark: L )
LEGAL DESCRIPTION:
t Lot Block Subd vi
RP -� a LCsion
CX
t (10•
I 0 Tax Number Y.Section Section Township Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
•
- mew building ;Single Family • ❑New County Resident
❑Addition 0 ulti•Family Is this structure to serve the residential
number of units
0 Alteration or commercial needs of those employed f
❑Repair,replacement 0 Hotel,Motel,Dormitory at either the US.Navy's Trident or
number of units Indian Island Facilities?
❑Wrecking 0 Mobile Home [
•
❑Moving(relocation) ; ther Specify •
❑Foundation only ✓�`O �C' a OYES ONO
x F
V 10 .►WA
USE
OWNERSHIP
❑Private(individual,corporation, •
0 Full-time Residence
nonprofit institution,etc.) 0 Second Home:Recreation Cabin,etc.
is❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: t4A, 0 Second Home:Future conversion to
-- permanent residence
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary
To be installed but not included school,secondary school,college,parochial school,parking garage for
in the above cost department store,rental office building,office building at industrial plant. €'
a. Electrical If use
�oo'f existing buildingui is being changed,enter proposed use• C b. Plumbing 1 l5) /(a V 0 1 `' 3— �)J��
C. Heating,air conditioning -
I
d. Other(elevator,etc.)
•
• TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPO
•Number of Stories
\ 1 I IMENSIONS
0 Masonry(wall bearing) 0 Public or Private 1�f`
✓Z Wood Frame •Total square feet of floorart�, %s.
Individua (septic tank c.) all floors,based on exterior
[]Structural steel dimensions f�-.=k
TYPE OF WATER SUPPLY U sq.ft
❑Reinforced concrete •Total land area,
0 Public or pri mpany J
❑Other—specify NUMBER OF OFF-STREET
:sjdlndivid I (well, "stern) PARKING SPACES
i
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE_.-----
0 Gas Outdoors
OOii , ---/'/ RESIDENTIAL BUILDINGS ONLY Y'
0 Electricity Number of bedrooms
0 ?{
Coal • TYPE OF MECHANICA -
Other—S f Number of Full i
GUCO bathrooms K
Partial
IV. IDENTIFICATION- -'
Name Mailing Address—Number,street,city (-
. and State ZIP code Tel No.
)A.2 ' ft 0 (---
Owner 't
2- c Q n�
Contract. State License No.
3.
.
t,
Architect
The owner of this building and the undersigned agree to conform to all applicable laws.
, lure of applicant Address
If& n ` �►Poliation date
, C1.4.7\_k C-C, 4ANC--- ./...(._,.,_‘ .
' se• 'NING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
:.
APPROVED BY n` ; i•-
•
JEF 1-IF-AL DEP iJV'I'Bm
APPROVED B1ff FEE ISSUE DATE RECEIPT NUMBER
' 67 1, co , 4/_ 6,, ,..._K-7 6 3 (o'l _.
,.
BUILDING OFFICIAL . ,
The P,,nrrrh - Pwt To.e.»scud
_1-Fi TIT'M.K C)T4 (-3 C-J I T i\T'e v r-s i 7 T i.T)T TVTC
Jefferson County Planning and Building Department
Courthouse, 3rd Flnnr
PO Box 1220
Port Townsend, WA gR365
206-385-914 1
PERMIT # -R D87-0C)0R DATE T SSITET). : 04/06/87
SITE. ADDRESS : 2037 DOSRWAT,T,T PS RIVER R1)
: RRTNNON, WA 98320
OWNER -ROSS 'KIRT,ER PHONE : 377-0603
MAILING A DR : R200 UNIVERSITY PT CR
: RREMF.RTON WA 98310
CONTRACTOR . . :NC) CONTRACTOR PHONE:
MAILING ADDR :
CONTR . T,T C #: EXPIRATION DATE :
PARCEL NO. . - : 602331005
T,EGAT, I1ESC. . : STR 33-26-02 WWM. TAX #
LOT , BLOCK
DESCRIPTION OF IMPROVEMENT: stnrane
) FontingiSethacks (Shoreline Sethack) /tviohiie Home Blocking:
) Fnundatinn :
) tJndernround P i umh i nn/tinrpraround insulation !
) rramina/P umhinn/Chimney:
) Tnsulatinn .
Sheetrnck:
) Sewage Disposal System Final :
) Final/Occupancy Approval : -"
CALL 385-91 4 1 24 HOURS T N ADVANCE TO SCHEDULE INSPECTIONS .
Office. Hours q a . m. to 5 n.m.
inspector ' s Hours q - 10 a .m.
24 Hnur Recnrder for inspections.
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